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Sialolithiasis or complex odontoma?
1Department of Oral Surgery, Faculty of Dentistry, Medical University, Plovdiv, Bulgaria. dtatanasov@abv.bg
Folia Medica
|August 29, 2003
Summary
A radiopacity in the mandible was initially suspected to be a complex odontoma. Further sialography revealed it was a sialolith, highlighting diagnostic challenges in differentiating these conditions.
Area of Science:
- Oral and Maxillofacial Surgery
- Radiology
- Diagnostic Imaging
Background:
- A 53-year-old woman presented with a detected radiopacity in the left mandible.
- Initial diagnosis was complex odontoma, leading to surgical intervention.
Observation:
- Intraoperative examination after trepanation revealed no pathological lesion.
- Contrast media sialography of the left submandibular salivary gland was performed.
- PA and lateral oblique views were utilized for imaging.
Findings:
- The radiopacity was correctly identified as a sialolith (salivary stone).
- Sialography proved instrumental in achieving the correct diagnosis.
Implications:
- This case underscores the diagnostic challenges in distinguishing sialoliths from complex odontomas.
- Accurate diagnostic imaging, such as sialography, is crucial for appropriate treatment planning in mandibular lesions.